Urinary bladder lesion of Crohn disease (report of 4 cases) / 中华泌尿外科杂志

ABSTRACT

Objective To study the pathogenesis, diagnosis and treatment of Crohn disease of urinary bladder. Methods 4 cases of Crohn diseases of urinary bladder treated were reviewed. Results 2 cases manifestated clinically as acute appendicitis,resultig in enterovesical fistulas formation in 1.Granulomatous pseudotumors were observed on cystoscopy in 3.The diagnosis was missed preoperatively in all the 4,being finally acertained on pathological studies. Conclusions In case of an ileovesical fistulas of unknown cause or the finding of papollomatous mucosal hyperplasia and bullous edema on cystoscopy,Crohn disease of the bladder should be thought of.Resection of the involved bladder wall will be necessary.